St. Peter's Hospital succeeds in ‘simultaneous gallbladder and distal pancreas resection’, the pinnacle of pancreatic surgery
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Gangnam St. Peter's Hospital 26-02-10 20:35Main content
St. Peter's Hospital announced that Park Kwan-tae, Director of General Surgery at its Hepatobiliary-Pancreatic & Vascular Center, successfully performed a simultaneous laparoscopic resection of the gallbladder and distal pancreas. The hospital said the case is all the more significant as it applied a demanding spleen-preserving technique.
According to the hospital, the operation was performed on a patient in their 40s who came in with severe acute cholecystitis. While the patient was being prepared for emergency surgery, imaging additionally revealed a cystic lesion about 2cm in size in the tail of the pancreas, which also required surgical resection. When multiple abdominal lesions accompany cholecystitis in this way, surgery for the cholecystitis is usually performed first and the additional operation carried out separately. In this case, however, the medical team weighed the severity and risk of each lesion and chose a treatment strategy of resecting the gallbladder and the tail of the pancreas simultaneously by laparoscopic surgery.
Director Park Kwan-tae (general surgery specialist) said, “When two or more operations are repeated within a short period, the physical burden can grow, and in some cases intestinal adhesions develop and make further surgery even more difficult,” adding, “We judged it better to treat both lesions in a single operation, and decided on the surgical approach after review by our medical team.”
This operation is attracting particular attention because it was performed using the spleen-preserving approach, considered one of the most difficult in pancreatic resection. Distal pancreatectomy is a highly demanding operation that requires precise handling of the blood vessels around the pancreas and the structures of adjacent organs, and the spleen-preserving technique in particular is known to require a high level of skill and teamwork. The medical team carried out the operation by preserving the splenic vessels precisely while safely resecting the pancreatic lesion.
In addition, the surgical route was configured efficiently to minimize the placement and use of ports (the tube channels used in laparoscopic surgery), focusing on reducing unnecessary incisions and easing the patient's recovery burden. The patient was discharged two days after surgery and has since shown a stable recovery with no complications.
Director Park Kwan-tae is an authority in vascular and transplant surgery with more than 20 years of clinical experience in Korea and abroad. He has performed over 10,000 procedures in arteriovenous fistula creation, fistula revision and vascular intervention, and has extensive experience across abdominal surgery, including laparoscopic hepatobiliary-pancreatic operations.
Since joining St. Peter's Hospital last November, Director Park Kwan-tae has led the Hepatobiliary-Pancreatic & Vascular Center and taken the lead in advancing the hospital's general surgery and abdominal surgery capabilities. He has recently achieved a series of highly demanding cases, including a cholecystectomy performed together with a successful intrahepatic hepaticojejunostomy to correct a biliary anomaly.
He also leads the way in volunteer work at home and abroad. In recognition of this work he has received the Prime Minister's Award for overseas volunteer service and a Presidential Commendation under the public nomination awards, and his activities were featured in 2020 on the KBS1 documentary program ‘Human Theater’. Over this Lunar New Year holiday he will again take part in medical volunteer work in Tanzania, continuing medical support for local residents.
Dr. Park, Kwan Tae said, “I find it meaningful that we successfully completed this highly complex simultaneous surgery, which we decided on after considering the patient's condition,” adding, “Building on the clinical capabilities of the Hepatobiliary-Pancreatic & Vascular Center, we will continue to provide precise and safe medical care that puts patients' recovery and safety first.”
Source: Health Kyunghyang (http://www.k-health.com)
According to the hospital, the operation was performed on a patient in their 40s who came in with severe acute cholecystitis. While the patient was being prepared for emergency surgery, imaging additionally revealed a cystic lesion about 2cm in size in the tail of the pancreas, which also required surgical resection. When multiple abdominal lesions accompany cholecystitis in this way, surgery for the cholecystitis is usually performed first and the additional operation carried out separately. In this case, however, the medical team weighed the severity and risk of each lesion and chose a treatment strategy of resecting the gallbladder and the tail of the pancreas simultaneously by laparoscopic surgery.
Director Park Kwan-tae (general surgery specialist) said, “When two or more operations are repeated within a short period, the physical burden can grow, and in some cases intestinal adhesions develop and make further surgery even more difficult,” adding, “We judged it better to treat both lesions in a single operation, and decided on the surgical approach after review by our medical team.”
This operation is attracting particular attention because it was performed using the spleen-preserving approach, considered one of the most difficult in pancreatic resection. Distal pancreatectomy is a highly demanding operation that requires precise handling of the blood vessels around the pancreas and the structures of adjacent organs, and the spleen-preserving technique in particular is known to require a high level of skill and teamwork. The medical team carried out the operation by preserving the splenic vessels precisely while safely resecting the pancreatic lesion.
In addition, the surgical route was configured efficiently to minimize the placement and use of ports (the tube channels used in laparoscopic surgery), focusing on reducing unnecessary incisions and easing the patient's recovery burden. The patient was discharged two days after surgery and has since shown a stable recovery with no complications.
Director Park Kwan-tae is an authority in vascular and transplant surgery with more than 20 years of clinical experience in Korea and abroad. He has performed over 10,000 procedures in arteriovenous fistula creation, fistula revision and vascular intervention, and has extensive experience across abdominal surgery, including laparoscopic hepatobiliary-pancreatic operations.
Since joining St. Peter's Hospital last November, Director Park Kwan-tae has led the Hepatobiliary-Pancreatic & Vascular Center and taken the lead in advancing the hospital's general surgery and abdominal surgery capabilities. He has recently achieved a series of highly demanding cases, including a cholecystectomy performed together with a successful intrahepatic hepaticojejunostomy to correct a biliary anomaly.
He also leads the way in volunteer work at home and abroad. In recognition of this work he has received the Prime Minister's Award for overseas volunteer service and a Presidential Commendation under the public nomination awards, and his activities were featured in 2020 on the KBS1 documentary program ‘Human Theater’. Over this Lunar New Year holiday he will again take part in medical volunteer work in Tanzania, continuing medical support for local residents.
Dr. Park, Kwan Tae said, “I find it meaningful that we successfully completed this highly complex simultaneous surgery, which we decided on after considering the patient's condition,” adding, “Building on the clinical capabilities of the Hepatobiliary-Pancreatic & Vascular Center, we will continue to provide precise and safe medical care that puts patients' recovery and safety first.”
Source: Health Kyunghyang (http://www.k-health.com)